NPIMap

Individual provider Active NPI

Ingvild Gangsaas Lane, MD

  • Internal Medicine Physician
  • Sacramento, CA
National Provider Identifier
1831171719
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C53026 Issued in CA
Practice address
1020 29TH St
Suite 480
Sacramento, CA 95816-5125
Phone
(916) 733-3777
Fax
(916) 454-6780
NPI assigned
Nov 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C53026 CA Primary
Internal Medicine Physician 207R00000X MD00039957 WA

Addresses

Primary practice location

1020 29TH St
Suite 480
Sacramento, CA 95816-5125

Mailing address

PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071

Other identifiers 2

IdentifierTypeStateIssuer
0161861OtherWALABOR & INDUSTRIES
8350332MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080124000720 CA Practitioner - Internal Medicine 5294817573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Geffen School of Medicine, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Sockolov and Sockolov a Professional CorporationGroup PAC ID 4284732348, 4 clinicians

Practice addresses (Care Compare)

1 Scripps Dr
Sacramento, CA 95825-6206
Phone (916) 927-1114

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Roseville, CA, CCN 057545
  • American River Home Care Home health agency, Sacramento, CA, CCN 059665
  • Prohealth Home Care, Inc Home health agency, Sacramento, CA, CCN 059764
  • Sutter Care at Home Home health agency, Sacramento, CA, CCN 557073
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C53026CAMDInternal Medicine Physician
MD00039957WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No. 2 Past Accepting new patients
Sutter West Bay Medical Foundation Internal Medicine Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ilane12942@hpmg.direct-ci.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1831171719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228",
            "telephone_number": "800-470-0071",
            "fax_number": "916-454-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 29TH ST",
            "address_2": "SUITE 480",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165125",
            "telephone_number": "916-733-3777",
            "fax_number": "916-454-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "INGVILD",
        "middle_name": "GANGSAAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C53026",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00039957",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0161861",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8350332",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.